Endovascular abdominal aortic aneurysm repair in nonagenarians - Beyond limits?

Marguerite F. Bouwmeester, Steven M.M. van Sterkenburg, Clark J. Zeebregts, Willem R. de Vries, Michel M.P.J. Reijnen

Research output: Contribution to journalArticleAcademicpeer-review

8 Citations (Scopus)
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Abstract

Herein, we report a single institution's experience with endovascular abdominal aortic aneurysm repair in nonagenarians, over a 4-year period of time. We performed a retrospective study of cases, in which we documented patient demographics, symptoms, physical findings, surgical interventions, complications, and deaths. The survivors answered a questionnaire. Endovascular abdominal aneurysm repair was performed in 4 male nonagenarians (age range, 90-92 yr): 2 underwent repair of asymptomatic aneurysm and 2 underwent repair of symptomatic aneurysm. There was no in-hospital death, and patients were discharged after a median time of 11 days. Both patients with symptomatic abdominal aortic aneurysm died within 30 days, 1 of an occluded left femoral artery and the other of unknown cause. After follow-ups of 6 and 54 months, both survivors were in good physical condition and patient satisfaction appeared to be very high. We have shown that elective endovascular abdominal aneurysm repair in a small, selected group of nonagenarians was feasible and afforded acceptable short-term survival. In patients with symptomatic disease, however, the early postprocedural mortality rate appears to be high. Decision-making should focus chiefly on comorbidities, on subjective issues such as fear of rupture, and on ethical and financial considerations.

Original languageEnglish
Pages (from-to)345-348
Number of pages4
JournalTexas Heart Institute Journal
Volume36
Issue number4
Publication statusPublished - 9 Sep 2009
Externally publishedYes

Keywords

  • Aged, 80 and over
  • Aortic aneurysm
  • Blood vessel prosthesis implantation
  • Comorbidity
  • Outcome assessment (health care)
  • Patient selection
  • Stents
  • Surgical procedures, elective
  • Survival rate
  • Vascular surgical procedures/adverse effects
  • Abdominal/rupture
  • Spontaneous/surgery

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